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ORIGINAL WATER WELL DRILLERS REPORT Do Not Fill In <br /> File Original,Duplicate and Triplicate with the (Seeran.707d,7077,7079,mater code) N? 67177 <br /> REGIONAL WATER POLLUTION hl�(,'_= - I <br /> CONTROL BOARD No _ <br /> STATE OF CALIFORNIA Snse <IINo.�7_.... ..........._.__ __vett <br /> �.��urre aDProprbb aaa.bnJ /,,�� Osher Well Na.—__vett_ <br /> _vett..._...._...__..._�__ <br /> t1) OWNER: (11) WELL LOG: <br /> Name �/�,/ a qJ Total d.,,h /'P I,. D,rh of cemylned.al /170 It. <br /> Address !0h, Forma.on: Dnnibe by color cbnarin,. •o/metrial,aad mvt<.a. <br /> rt. <br /> _ (2) LOCATION OF WE 4 <br /> tenon lLo...- Q.�-vett....✓ o.oe:•nnme.r,a.777— .. 'Z .. <br /> R.P.D.or Svee <br /> (3) TYPE OF WORK (check): <br /> New bell 2L Deepening ❑ Reconditioning ❑ Abandon ❑ <br /> If rbaodonreef describe naefnial dnd Procedure in lim 11. <br /> (4) PROPOSED USE (check): I (5) EQUIPMENT: <br /> Domestic SL Industrial ❑ Municipal ❑ Rotary Is <br /> Irrigation ❑ Test Well ElOther ❑ Cable 13Du Well ❑ <br /> (6) CASING INSTALLED: If gravel Packed <br /> SINGLE lg DOUBLE ❑ <br /> r Duman Lem a0 <br /> •� Fmcop ate �,f n.a Din. oven efnore it. it. .. ,. <br /> T7R•nd nae of.hr or�dl rinb <br /> Snead R•.el, .. .. <br /> — Uta<rib jurat � ,'Jr' •• '. <br /> (7) PERFORATIONS: <br /> _ TrM of wrfwns rad •• .• <br /> SV-0 of r IanRd br <br /> From A.'. it. Parr.o<r rove are. <br /> (8) CONSTRUCTIONI - .. FOR OFFICIAL USE ONLY <br /> ., ..e __.:vett, n v.. n ••- T.-h.. A....F fe .. <br />